Individual provider Active NPI

Binu Thomas, FNP

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1679012348
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9778 Issued in AZ
Practice address
20701 N Scottsdale Rd
Ste 107-601
Scottsdale, AZ 85255-6413
Phone
(480) 999-4954
Fax
(480) 999-4712
NPI assigned
Feb 14, 2017
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9778 AZ Primary

Addresses

Primary practice location

20701 N Scottsdale Rd
Ste 107-601
Scottsdale, AZ 85255-6413

Mailing address

111 E Dunlap Ave
Phoenix, AZ 85020-2807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170302002217 AZ Practitioner - Nurse Practitioner 1951685346 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Medical and Post-Acute Services LLCGroup PAC ID 5991164402, 6 clinicians

Practice addresses (Care Compare)

10810 N Tatum Blvd
102 107
Phoenix, AZ 85028-6055
Phone (602) 568-4362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 West LLC CurrentSince Aug 31, 2024 Accepting new patients
Arizona Post-Acute Medical Services 1 PC CurrentSince Oct 17, 2022 Accepting new patients
NM Pacs 2 LLC CurrentSince Oct 17, 2022 Accepting new patients
Clark Medical and Post-Acute Services, LLC CurrentSince May 1, 2024 Accepting new patients
Signify Health, LLC CurrentSince Jul 1, 2022 Accepting new patients
Peak Medical PLLC CurrentSince Oct 1, 2020 Accepting new patients
Glendale Healthcare Associates LLC Past Accepting new patients
For Health of Arizona, Inc. Past Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

3303 S Lindsay Rd
Ste 123
Gilbert, AZ 85297
Phone (480) 821-9339

1081 Kathleen Ave
Kingman, AZ 86401
Phone (928) 718-0777

3401 Lockwood Dr
Lakeside, AZ 85929
Phone (928) 368-2060

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400

1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669

10810 N Tatum Blvd
#102107
Phoenix, AZ 85028
Phone (602) 568-4362

10810 N Tatum Blvd
Ste 102107
Phoenix, AZ 85028
Phone (602) 568-4362

4635 N 14th St
Phoenix, AZ 85014
Phone (602) 264-9039

8825 S 7th St
Phoenix, AZ 85042
Phone (602) 243-6121

9155 N 3rd St
Phoenix, AZ 85020
Phone (602) 218-9483

9200 N Central Ave
Ste 2
Phoenix, AZ 85020
Phone (480) 999-4954

864 Dougherty St
Prescott, AZ 86305
Phone (928) 778-9666

3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045

2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22282/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1679012348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E DUNLAP AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20701 N SCOTTSDALE RD",
            "address_2": "STE 107-601",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556413",
            "telephone_number": "480-999-4954",
            "fax_number": "480-999-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BINU",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-14",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.